Revenue Integrity Charge Analyst

Job Summary

The Revenue Integrity Charge Review Analyst is responsible for determining and identifying variations in daily total charges across all hospital revenue generating departments. This role involves monitoring daily ancillary charge reports, reviewing denial trends, serving as a liaison between facilities administration, shared services center, and ancillary department directors, conducting reviews of charging, coding, and clinical documentation, and collaborating with corporate revenue integrity leadership.

Responsibilities

• Maintains constant communication with Facility Departments during Meditech Expanse implementation to address identified charging issues, both prior to and after go-live.
• Serves as a liaison between facilities Administration, Shared Services Center, and ancillary department directors regarding total charge variations and revenue opportunities.
• Collaborates with Ancillary Departments to resolve issues and coordinate necessary updates (activation, deactivation, or modification).
• Reviews HCA regulatory communications, applicable CMS transmittals, and Local Coverage Determinations (LCDs), assesses their impact on Revenue Integrity procedures, and implements necessary changes.
• Maintain up-to-date billing knowledge through webcasts and conference calls, ensuring continuous education.
• Acts as Chargemaster liaison for clinical departments to facilitate education on appropriate charging of CPT codes and Revenue Codes.
• Performs detailed charge audits by verifying billing data against clinical documentation, making necessary corrections in Patient Accounting.
• Presents recommendations to Corporate and SSC Revenue Integrity Leadership, as well as facility ancillary department directors, to enhance documentation accuracy, charging workflows, and overall compliance.
• Monitors charging practices post-implementation to offer targeted guidance and support.
• Consistently monitors charging practices across all facilities through charge reviews, remedial training, and education.
• Collaborates with Ancillary Departments to resolve issues and coordinate necessary updates (activation, deactivation, or modification).
• Reviews HCA regulatory communications, applicable CMS transmittals, and Local Coverage Determinations (LCDs), assesses their impact on Revenue Integrity procedures, and implements necessary changes.
• Maintain up-to-date billing knowledge through webcasts and conference calls, ensuring continuous education.
• Acts as Chargemaster liaison for clinical departments to facilitate education on appropriate charging of CPT codes and Revenue Codes.
• Performs detailed charge audits by verifying billing data against clinical documentation, making necessary corrections in Patient Accounting.
• Presents recommendations to Corporate and SSC Revenue Integrity Leadership, as well as facility ancillary department directors, to enhance documentation accuracy, charging workflows, and overall compliance.
• Monitors charging practices post-implementation to offer targeted guidance and support.
• Consistently monitors charging practices across all facilities through charge reviews, remedial training, and education.
• Collaborates with Ancillary Departments to resolve issues and coordinate necessary updates (activation, deactivation, or modification).
• Reviews HCA regulatory communications, applicable CMS transmittals, and Local Coverage Determinations (LCDs), assesses their impact on Revenue Integrity procedures, and implements necessary changes.
• Maintain up-to-date billing knowledge through webcasts and conference calls, ensuring continuous education.
• Acts as Chargemaster liaison for clinical departments to facilitate education on appropriate charging of CPT codes and Revenue Codes.
• Performs detailed charge audits by verifying billing data against clinical documentation, making necessary corrections in Patient Accounting.
• Presents recommendations to Corporate and SSC Revenue Integrity Leadership, as well as facility ancillary department directors, to enhance documentation accuracy, charging workflows, and overall compliance.
• Monitors charging practices post-implementation to offer targeted guidance and support.
• Consistently monitors charging practices across all facilities through charge reviews, remedial training, and education.
• Collaborates with Ancillary Departments to resolve issues and coordinate necessary updates (activation, deactivation, or modification).
• Reviews HCA regulatory communications, applicable CMS transmittals, and Local Coverage Determinations (LCDs), assesses their impact on Revenue Integrity procedures, and implements necessary changes.
• Maintain up-to-date billing knowledge through webcasts and conference calls, ensuring continuous education.
• Acts as Chargemaster liaison for clinical departments to facilitate education on appropriate charging of CPT codes and Revenue Codes.
• Performs detailed charge audits by verifying billing data against clinical documentation, making necessary corrections in Patient Accounting.
• Presents recommendations to Corporate and SSC Revenue Integrity Leadership, as well as facility ancillary department directors, to enhance documentation accuracy, charging workflows, and overall compliance.
• Monitors charging practices post-implementation to offer targeted guidance and support.
• Consistently monitors charging practices across all facilities through charge reviews, remedial training, and education.
• Collaborates with Ancillary Departments to resolve issues and coordinate necessary updates (activation, deactivation, or modification).
• Reviews HCA regulatory communications, applicable CMS transmittals, and Local Coverage Determinations (LCDs), assesses their impact on Revenue Integrity procedures, and implements necessary changes.
• Maintain up-to-date billing knowledge through webcasts and conference calls, ensuring continuous education.
• Acts as Chargemaster liaison for clinical departments to facilitate education on appropriate charging of CPT codes and Revenue Codes.
• Performs detailed charge audits by verifying billing data against clinical documentation, making necessary corrections in Patient Accounting.
• Presents recommendations to Corporate and SSC Revenue Integrity Leadership, as well as facility ancillary department directors, to enhance documentation accuracy, charging workflows, and overall compliance.
• Monitors charging practices post-implementation to offer targeted guidance and support.
• Consistently monitors charging practices across all facilities through charge reviews, remedial training, and education.
• Collaborates with Ancillary Departments to resolve issues and coordinate necessary updates (activation, deactivation, or modification).
• Reviews HCA regulatory communications, applicable CMS transmittals, and Local Coverage Determinations (LCDs), assesses their impact on Revenue Integrity procedures, and implements necessary changes.
• Maintain up-to-date billing knowledge through webcasts and conference calls, ensuring continuous education.
• Acts as Chargemaster liaison for clinical departments to facilitate education on appropriate charging of CPT codes and Revenue Codes.
• Performs detailed charge audits by verifying billing data against clinical documentation, making necessary corrections in Patient Accounting.
• Presents recommendations to Corporate and SSC Revenue Integrity Leadership, as well as facility ancillary department directors, to enhance documentation accuracy, charging workflows, and overall compliance.
• Monitors charging practices post-implementation to offer targeted guidance and support.
• Consistently monitors charging practices across all facilities through charge reviews, remedial training, and education.
• Collaborates with Ancillary Departments to resolve issues and coordinate necessary updates (activation, deactivation, or modification).
• Reviews HCA regulatory communications, applicable CMS transmittals, and Local Coverage Determinations (LCDs), assesses their impact on Revenue Integrity procedures, and implements necessary changes.
• Maintain up-to-date billing knowledge through webcasts and conference calls, ensuring continuous education.
• Acts as Chargemaster liaison for clinical departments to facilitate education on appropriate charging of CPT codes and Revenue Codes.
• Performs detailed charge audits by verifying billing data against clinical documentation, making necessary corrections in Patient Accounting.
• Presents recommendations to Corporate and SSC Revenue Integrity Leadership, as well as facility ancillary department directors, to enhance documentation accuracy, charging workflows, and overall compliance.
• Monitors charging practices post-implementation to offer targeted guidance and support.
• Consistently monitors charging practices across all facilities through charge reviews, remedial training, and education.
• Collaborates with Ancillary Departments to resolve issues and coordinate necessary updates (activation, deactivation, or modification).
• Reviews HCA regulatory communications, applicable CMS transmittals, and Local Coverage Determinations (LCDs), assesses their impact on Revenue Integrity procedures, and implements necessary changes.
• Maintain up-to-date billing knowledge through webcasts and conference calls, ensuring continuous education.
• Acts as Chargemaster liaison for clinical departments to facilitate education on appropriate charging of CPT codes and Revenue Codes.
• Performs detailed charge audits by verifying billing data against clinical documentation, making necessary corrections in Patient Accounting.
• Presents recommendations to Corporate and SSC Revenue Integrity Leadership, as well as facility ancillary department directors, to enhance documentation accuracy, charging workflows, and overall compliance.
• Monitors charging practices post-implementation to offer targeted guidance and support.
• Consistently monitors charging practices across all facilities through charge reviews, remedial training, and education.
• Collaborates with Ancillary Departments to resolve issues and coordinate necessary updates (activation, deactivation, or modification).
• Reviews HCA regulatory communications, applicable CMS transmittals, and Local Coverage Determinations (LCDs), assesses their impact on Revenue Integrity procedures, and implements necessary changes.
• Maintain up-to-date billing knowledge through webcasts and conference calls, ensuring continuous education.
• Acts as Chargemaster liaison for clinical departments to facilitate education on appropriate charging of CPT codes and Revenue Codes.
• Performs detailed charge audits by verifying billing data against clinical documentation, making necessary corrections in Patient Accounting.
• Presents recommendations to Corporate and SSC Revenue Integrity Leadership, as well as facility ancillary department directors, to enhance documentation accuracy, charging workflows, and overall compliance.
• Monitors charging practices post-implementation to offer targeted guidance and support.
• Consistently monitors charging practices across all facilities through charge reviews, remedial training, and education.
• Collaborates with Ancillary Departments to resolve issues and coordinate necessary updates (activation, deactivation, or modification).
• Reviews HCA regulatory communications, applicable CMS transmittals, and Local Coverage Determinations (LCDs), assesses their impact on Revenue Integrity procedures, and implements necessary changes.
• Maintain up-to-date billing knowledge through webcasts and conference calls, ensuring continuous education.
• Acts as Chargemaster liaison for clinical departments to facilitate education on appropriate charging of CPT codes and Revenue Codes.
• Performs detailed charge audits by verifying billing data against clinical documentation, making necessary corrections in Patient Accounting.
• Presents recommendations to Corporate and SSC Revenue Integrity Leadership, as well as facility ancillary department directors, to enhance documentation accuracy, charging workflows, and overall compliance.
• Monitors charging practices post-implementation to offer targeted guidance and support.
• Consistently monitors charging practices across all facilities through charge reviews, remedial training, and education.
• Collaborates with Ancillary Departments to resolve issues and coordinate necessary updates (activation, deactivation, or modification).
• Reviews HCA regulatory communications, applicable CMS transmittals, and Local Coverage Determinations (LCDs), assesses their impact on Revenue Integrity procedures, and implements necessary changes.
• Maintain up-to-date billing knowledge through webcasts and conference calls, ensuring continuous education.
• Acts as Chargemaster liaison for clinical departments to facilitate education on appropriate charging of CPT codes and Revenue Codes.
• Performs detailed charge audits by verifying billing data against clinical documentation, making necessary corrections in Patient Accounting.
• Presents recommendations to Corporate and SSC Revenue Integrity Leadership, as well as facility ancillary department directors, to enhance documentation accuracy, charging workflows, and overall compliance.
• Monitors charging practices post-implementation to offer targeted guidance and support.
• Consistently monitors charging practices across all facilities through charge reviews, remedial training, and education.
• Collaborates with Ancillary Departments to resolve issues and coordinate necessary updates (activation, deactivation, or modification).
• Reviews HCA regulatory communications, applicable CMS transmittals, and Local Coverage Determinations (LCDs), assesses their impact on Revenue Integrity procedures, and implements necessary changes.